Socio-demographic Characteristics of Basic Life Support Course Participants
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 900,000
- 试验地点
- 1
- 主要终点
- Sex
研究概览
简要总结
Aim The aim of the study is to characterize the typical basic life support (BLS) course participant. The characterization include age, sex, education, ethnicity, income, health care data and cohabitation. All data will be compared with that of the general population. Hereby the study wish identify potential focus areas for recruitment of willing and able bystanders to increase survival. Furthermore, this study will provide a foundation for evaluation of current initiatives.
Significance In Denmark, several population-based campaigns have been initiated to increase the amount of able and willing laypersons to assist at out-of-hospital cardiac arrest (OHCA). The main focus has been on increasing the quantity of laypersons attending BLS courses. Even measures of changing legislation mandating course participation have been passed and implemented. Estimates state that approximately 3-4.5% of the entire Danish population participates in BLS courses annually. Consequently, a substantial amount of resources has been spent on educating and certifying laypersons in BLS on a population level. In this study, the characteristics of these BLS course participants will be described. This will provide the basis for evaluation of already implemented interventions. Additionally, this study will be able to support course distributors, foundations and national councils in making strategies for further recruitment based on evidence. The present study will assist in pinpointing society groups with a theoretical bystander potential, but low level of BLS education. This can guide future efforts in trying to improve bystander initiated cardiopulmonary resuscitation (CPR) and survival from OHCA.
Methods The study population includes all Danish citizens who attended a BLS training course certificate from 2016-2018 above the age of 15. This cut off is based on the earliest mandatory BLS training in primary school. Using Personal Identifications Numbers (PIN) of BLS course participant from January 1st, 2016 to December 31st, 2018, data will be extracted and delivered anonymously, including information on age, sex, income, education, ethnicity and cohabitation, from the Statistics Denmark. The relative risk of BLS course attendance stratified by education and income level, cohabitation status, age of youngest child, urbanization level, sex and ethnicity of the Danish BLS course participants compared to the general population will be presented. Prevalence of BLS courses participants by age and sex will be analyzed and graphically display and prevalence of BLS course participants by income and age will be calculated by regression models. A layperson focus group interview consisting of BLS course participants will be conducted to explore the attending courses participants views of the project and to revise accordingly.
Anonymity is secured through a data processing agreement between the Danish First Aid Council and Statistics Denmark, facilitated by the Copenhagen Emergency Medical Services. An application will be formulated to the Danish Data protection agency regarding storage of data.
Expected outcome A characterization of the typical BLS course participants in Denmark with median age, sex, cohabitation, income and education. The association between sociodemographic characteristics of BLS course participants and relevant prevalence's by the entire population will be presented.
详细描述
Background Bystander initiated basic life support (BLS) play an increasingly important role in the efforts and strategies to improve survival from out-of-hospital cardiac arrest (OHCA). Denmark is known internationally for our ability to investigate OHCA on a population scale and for the high number of laypersons educated in BLS. Denmark has approximately 5400 OHCA each year.
There has been a significant increase in survival after OHCA in Denmark the last two decades. Since 2001, the 30-day survival rate has increased fourfold from approximately 4% in 2001 to 16% in 2018. This increase has been linked to a significant rise in bystander-initiated CPR prior to the arrival of emergency medical services (EMS).
The Global Resuscitation Alliance emphasizes the need to educate laypersons in BLS and of the ten steps to improve survival from OHCA, four steps involve BLS and the community. It is stated by the Global Resuscitation Alliance that "a population universally trained in CPR has the potential to double survival rates" . Bystander-initiated CPR rate has increased from 20% in 2001 to 77% in 2018. In the same period as Denmark have witnessed a fourfold increase in bystander-initiated CPR and approximately threefold increase in the number of basic life support courses have been seen.
The rise number of basic life support courses in is largely due to several central initiatives. To increase bystander CPR rates in Denmark, CPR courses have been made mandatory in all primary schools since January 2005 and when taking driver's license since October 2006. Further, several large scale national campaigns, like TrygFondens Heartrunners, have been initiated to increase bystander CPR rates and the use of automatic external defibrillators (AED) for laypeople. An examination of TrygFondens First Responders project Heartrunners showed that up to 98% of the first responders had participated in BLS course and a majority (70%) within the last two years. Hence, the soon to be national, first responder project TrygFondens Heartrunners is recruiting largely among citizens whom have participated in BLS courses within the last two years.
Further, in an upcoming study of a representative part of the entire population, 4 out of 5 respondents answered that they had participated in some kind of BLS course in their lifetime. Unverified numbers assert that approximately 250.000-300.000 citizens attend certified BLS courses annually. This entails, that approximately 3-4,5% of the entire Danish population attain a certificate annually. However, the measure of annual BLS course participants in Denmark is, for now, only an assumption. When engaging 3-4.5% of the entire Danish population annually, it is reasonable to evaluate the effort. Little is known about the profile of this large proportion of Danish citizens. Obvious questions to be asked are; "Can the numbers be verified?", "Are the targeted groups of potential bystanders reached?" and "To recruit and maintain able and willing bystanders, whom should campaigns address?"
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All danish citizens, with a verified personal identification number, whom participated in a certified basic life support course between 2016 and 2019.
排除标准
- •Basic life support course participants with in-complete/faulty registered personal identification number.
结局指标
主要结局
Sex
时间窗: 2016-2018
Male, female
Level of urbanization
时间窗: 2016-2018
\<25, 25-350, \>350-1000, \>1000-2000, \>2000 persons per square kilometer
Age
时间窗: 2016-2018
In either month or days (to enable smooth curves)
Cohabitation status
时间窗: 2016-2018
Living with parents, living alone, living with a person of opposite gender, living with a person of same gender, living in a multi-household which is a household with three or more unrelated adults
Education
时间窗: 2016-2018
Primary and lower secondary education, high school, technical and vocational education and training, higher short/middle length education, higher long term education
Ethnicity
时间窗: 2016-2018
born in Denmark by at least one ethnically Danish parent, born in Denmark by non-Danish parents, born in a Western country other than Denmark, or born in a non-Western country)
Parental birth place
时间窗: 2016-2018
Danish region
Income
时间窗: 2016-2018
Deciles relative to gender and birth year
Age of youngest child in the household
时间窗: 2016-2018
0, 1-2, 3-5, 6-8, 9-11 or 12+ years old, or no children
次要结局
未报告次要终点